HomeMy WebLinkAbout17-18870 CITY OF ZEPHYRhiILLS
,- ' - 5335-8TH STREET "
(813)780-0020 18870
BUILDYNG PERMIT %'�
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18870 Address: 5547 12TH ST �
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book: '
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: �
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11700-0015
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 9/27/2017 Name: PARKER JEROME & LAI CHING
Total Fees: 50.00 Address: 5334 17TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/27/2017 Phone: (352)567-7992
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 50.00
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I Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF SP �
FINAL / �I
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental,
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for '
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney�
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ,
NO OCCUPANCY BEFORE C.O.
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CONTRAC R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTIOPI - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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�' a�sasa-ao2o City of Zephyrhills Permit Applicatian Fax-813.�80-002� ;
r Buiiding Department , k'
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Qate Received ` Phone Contact for Permitting -
Owner's Name f �1� �� f6�� Own�r Phone Number
Owner'`s Address .J�� ! �f-� �� Owner Phone Number �- �
Fee Simple Titleholder Name �- � Owner Phone Number � �
Fee Slmple Titleholder Address
'� JQB ADDRESS � � /�� -aS /� LOT# C�
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l�! SUBDIVISION C � PAitCEL ID# ! ril�"uZf""'O� �'� /�� '"' ���
�; (dBTA1NEp FROM PROPERTY TAX NOTICE)
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�� WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN [� Q DEMOLtSH
,� : INSTALL REPAIR
� PI20PdjSED USE Q SFR . Q C{�MM � OTFlER
�� TYPE O,F CONS'1'RUCTION �r BLOCK Q FRAME � STEEL Q
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�� DESCRIPTION OF WORFC " LDO� � �.�"a�� (� � //v�yG �
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# BUILDIMG SIZE � � SQ F40TAGE C� HEIGHT ���
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�� ; Bt11LDING $ 0� ' VALUATION OF 70TAL CONSTRUCTtON
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�; QELECTRICAL $ AMP SERVtCE [� PROGRESS ENERGY [� W.R.E.C.- ;
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� • QPLUMBtNG (S6 � , �
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3 MECHANICAL $ VALUATI4N OF MECHANIGAL IRISTA�tATiQN
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j QGAS Q ROQFING Q SPEGALTY � OTHER '•
� FINISHED FLOOR ELEVA710NS �� � FLOOD ZONE AREA QYES NQ I
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� BUILDER COMPANY �
f SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �
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� Address License# r I!
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� ELECTRICIAfV COMPANY � �
StGNATURE REGISTERED Y/ N FEE CURREn Y/N' �
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Address ticense# I � �;
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� PLUMBER COMPANY ' i
} SIGNATURE � REGISTERED � Y�/`N . F�E�CURRE� Y/•N ` '� i
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; Address - L-icense# � �I
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� M�CHAWIGAL•_ - COMRANY�, - , - _ j
, SIfaNATURE REGlSTERED Y/�N. , - F��cuwzE� �,.Y./N .�; �
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Address � ,License#,I ��(�l���y.�� �I
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OTHERa� G�"� COMPANY ���/'� /����//"�"� j
`` SIGNATURE Re��srEtxEo Y/ N FEE CURRE� Y/N �
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� Address � '�X l ��.7 Q�' Z` �"'�-. License# a ���%/ i
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�,< RESIDENTIAL�' `�Attacli.,(2)Plot Plans;'(2)set"s of Building Plans;(1)set of E'nergyFFarms;:R=O;Vjl.Permit'far new canstructian,. �
�= ,Minimum�-ten�(.1.0)�working'days'aftec'su6mitta4date,�Required onsite�Construction�Plans,Stormwater Plans w/Silt Fence'installed,
�,�� - .
Sanitary Fa�ilities&1 dumpster,Site Work Permit for subdivisianstlarge projects
'''� GOMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
�Minimum ten_(14)working•days at#er submittaFdate. Required onsite,Construction,Plans,Stom►water Plans w/Silt.Fence installed,;
�;- Sanitary Facilities&'I"dumpster.Site Work Permit for a1!'new prajects.All cammeccial requirements must meet complisnce �
*4_ - SIGN PERAAIT Attach.(2),sets�of Engineered Plans. , ,. � ;
� ****PRQPERTY.SURVEY required for aEl NEW construction.
Directions: '
FiH out appllcation cprnpletety. �
Owner;&Contractor sign back of appticafion,nofarized ,
If over$250t1.a Notice of Commencement is required. (A/C upgrades over$7500) �
** Agent(for.fhe contractor-)or Power-of Attomey{far the owner}would be someane wlth natarized letter fram awner authorizing same
OVER'THE COUNTER P6RMITTING (copy of conVact required)
Rer.oafs_'ifshingtes 5ewers Service Upgrades-AlC - Fences{PIntlSurveyiFootage}
Driveways-Not over Counter if on public roadways..needs ROW '
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject.to"deed° restrictions"
which may be more restrictiv,e than County regulations. The undersigned.assumes responsibility for compliance with>any
applicable deed�restrictions. � � ' . --=
UNLICENSED COIVTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor,or
contraetors to undertake work, they may be required to be licensed in accordance with state.and local cegulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor•violation
, under state law: If the owner or intend"e'd`contractor are uncertain as-to what-licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing,Section at.727,847-
8009. Furthermore, if the owner has 'liired a contractor or-contractors, he-is advised to have`tlie contracto�(s)�sign
portions of the "contractor Block" of this application for which they will be responsible: If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting:privileges in Pasco��
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE�OURCE RECOVERY FEES: The undersigned understarids
thafTransportation Impact Fees:and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number�89-07 and;
90-07, as amended. The�:undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior-,,to
receiving a "certificate of occupancy" or final power release. If tfie-project does not involve a certificate of occupancy or
final,power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer.Impact
fees-are due, they must be paid prior to.permit issuance in accordance with applicable Pasco.County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500:00 or more, I
certify that I, the applicant, have-been provided with a copy of the "Florida Construction �Lien Law—Homeowner's
' Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If�the applicant is°someone
other than the"owner", I certify that I'have obtained a copy of the above described documenf and promise in good faith to
deliver it to the"owne�'prior to commencement:
CONTRACTOR'SlOWNER'S AFFIDAVIT: �I certify that all the information in this application is accurate and that all:work
will be done in compliance with all applicable laws.regulating construction, zoning and land development: ApPlication is
hereby made to�obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and. City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
L'ands,WaterM/astewate�Treatment. -
- Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. �
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. `
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. i.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. -
' I understand that the following restrictions apply to the use of filL• � ;_
� - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida. . f
- If the �II material is to be used in F1ood Zone "A� in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall. �
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent '
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the buildin ermit issued under the attached permit application, for lots less than one (1)
9P
. acre which are elevated by fill, an engineered drainage plan is required. ;
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in �
this a�davit prior to commencing sonstruction. I understand that a separate permit may be required for electrical work, �
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A ��
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by I
' the permit is suspended or abandoned for a period of six (6) months after the time the work is,.commenced. An extension
may be requested, in writing, from the Building Official for a_period not to exceed ninety (90)'days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.�
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WARNIIVG TO OWNE.R: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN.YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. � �
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT � CONTRACTOR �I���"` ` �
Subscribed and swom to(or affi ed) efore me this Subscribed and swom to(or affirmed)before me th1s
by by
Who fs/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification, as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped '